Individual
TISHA DARLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 636-1188
(316) 636-1199
Mailing address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 636-1188
(316) 636-1199
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4862
KS
1041C0700X
Clinical Social Worker
Primary
4390
KS
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/01/2006
Last updated
08/04/2020
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